| Molar Bear Pediatric Dentistry Llc | |
|
609 S Knik Goose Bay Rd Ste D Wasilla AK 99654-8079 | |
| (907) 376-6527 | |
| Not Available |
| Full Name | Molar Bear Pediatric Dentistry Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 609 S Knik Goose Bay Rd Ste D, Wasilla, Alaska |
| Authorized Official Name and Position | Christopher G Rosenvall (CEO) |
| Authorized Official Contact | 8015927595 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Molar Bear Pediatric Dentistry Llc 609 S Knik Goose Bay Rd Ste D Wasilla AK 99654-8079 Ph: (907) 376-6527 | Molar Bear Pediatric Dentistry Llc 609 S Knik Goose Bay Rd Ste D Wasilla AK 99654-8079 Ph: (907) 376-6527 |
| NPI Number | 1093326308 |
|---|---|
| Provider Enumeration Date | 08/11/2020 |
| Last Update Date | 08/11/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093326308 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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